Medicina Clinica最新文献_第9页

Rasmussen aneurysm in a patient with chronic inhaled drug use. 一名长期吸入药物患者的拉斯穆森动脉瘤。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-14 DOI: 10.1016/j.medcli.2024.08.017

Diana Alegre-González, Marlon Vasquez-Burbano, Alba Gil-Arcija

引用次数: 0

Atherosclerosis, vascular calcification and osteoporosis. 动脉粥样硬化、血管钙化和骨质疏松症。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-14 DOI: 10.1016/j.medcli.2024.07.004

Carmen Valero, Jesús González Macías

引用次数: 0

Upper extremity deep vein thrombosis in hospitalized central venous catheter carriers and non-carriers: A retrospective cohort study. 住院中心静脉导管携带者和非携带者的上肢深静脉血栓形成：一项回顾性队列研究。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-11 DOI: 10.1016/j.medcli.2024.09.008

José Ángel Novalbos-Partida, José Antonio Rueda-Camino, María Angelina-García, M Dolores Joya-Seijo, Davinia Trujillo-Luque, Raquel Barba-Martín

{"title":"Upper extremity deep vein thrombosis in hospitalized central venous catheter carriers and non-carriers: A retrospective cohort study.","authors":"José Ángel Novalbos-Partida, José Antonio Rueda-Camino, María Angelina-García, M Dolores Joya-Seijo, Davinia Trujillo-Luque, Raquel Barba-Martín","doi":"10.1016/j.medcli.2024.09.008","DOIUrl":"https://doi.org/10.1016/j.medcli.2024.09.008","url":null,"abstract":"Objectives: Prognostic differences between central venous catheters (CVC) carriers and non-carriers, who have upper extremity deep vein thrombosis (UEDVT), have been described; however, evidence in hospitalized patients is limited.Materials and methods: This retrospective cohort study included hospitalized patients from March 2012 to March 2023 with UEDVT, classified into CVC-associated and non-CVC-associated UEDVT groups. Rates of thrombotic recurrence, hemorrhage, post-thrombotic syndrome, and death from pulmonary embolism were analyzed using Kaplan-Meier curves and Cox proportional hazards models.Results: A total of 135 patients were included (76 with CVC and 59 without CVC), with a mean age of 67±15 years and 44% female. No significant differences were observed in the incidence of the combined endpoint between CVC non-carriers and carriers (5.45 vs 6.74 per 1000 patient-months respectively; HR: 1.26; 95% CI: 0.51-3.06). After multivariable adjustment, no significant differences in risk were detected (HR: 1.09; 95% CI: 0.44-2.72).Conclusions: There are no significant prognostic differences between patients with and without CVC hospitalized for UEDVT.","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142623866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between hypogonadism and severity of chronic obstructive pulmonary disease: A cross-sectional study. 性腺功能减退症与慢性阻塞性肺病严重程度之间的关系：一项横断面研究。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-09 DOI: 10.1016/j.medcli.2024.08.016

Horacio Matias Castro, Joaquin Maritano Furcada, Eduardo Luis De Vito, Sebastian Matias Suarez, Pablo Knoblovits, Pablo Rene Costanzo

{"title":"Association between hypogonadism and severity of chronic obstructive pulmonary disease: A cross-sectional study.","authors":"Horacio Matias Castro, Joaquin Maritano Furcada, Eduardo Luis De Vito, Sebastian Matias Suarez, Pablo Knoblovits, Pablo Rene Costanzo","doi":"10.1016/j.medcli.2024.08.016","DOIUrl":"https://doi.org/10.1016/j.medcli.2024.08.016","url":null,"abstract":"Introduction and objectives: Chronic obstructive pulmonary disease (COPD) frequently coexists with other comorbidities, including hypogonadism. However, the association between COPD severity and hypogonadism remains controversial. This study aimed to evaluate this association and compare the clinical characteristics of hypogonadal and eugonadal COPD patients.Materials and methods: A cross-sectional study including men with stable COPD was performed. Hypogonadism was diagnosed based on the presence of symptoms, according to the Androgen Deficiency in Aging Males questionnaire, and a total testosterone deficit (<300ng/dL). COPD severity was classified according to the Spanish COPD guideline risk classification. A multivariate logistic regression analysis was performed in order to evaluate the relationship between COPD severity and hypogonadism.Results: 134 subjects were recruited. The prevalence of hypogonadism was higher in severe COPD than in mild COPD, with a prevalence ratio of 1.8 (p=0.007). An increased odds of hypogonadism was observed in severe COPD subjects (OR 2.60, 95% CI 1.23-5.48, p=0.012) independent of age, body mass index, cardiovascular disease, and chronic renal failure. Hypogonadal COPD patients exhibited lower percentage levels of FVC and FEV1 and a higher degree of dyspnea than compared to eugonadal COPD patients.Conclusion: Patients with severe COPD had a higher prevalence of hypogonadism compared to those with mild COPD. Additionally, severe COPD was identified as an independent risk factor for hypogonadism. These findings suggest that hypogonadism should be evaluated in patients with COPD, particularly in those with severe disease.","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142623746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tumoral osteomalacia due to hemangiopericytoma. 因血细胞瘤引起的肿瘤性骨软化症。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-09 DOI: 10.1016/j.medcli.2024.08.015

Julia Costas Eimil, Antonia Rego Iraeta, Lucía García Bernardo

引用次数: 0

Peritonitis due to Kocuria rhizophila in a patient treated with peritoneal dialysis. 一名接受腹膜透析治疗的患者因根瘤梭菌引发腹膜炎。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-08 DOI: 10.1016/j.medcli.2024.08.013

Carolina Fonseca de Jesus Silva, Karen Rivero Garcia, Pilar Fraile Gómez

引用次数: 0

Dermatoses in patients with inflammatory bowel disease under tumor necrosis factor-alpha inhibitors treatment. 接受肿瘤坏死因子-α抑制剂治疗的炎症性肠病患者的皮肤病。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-07 DOI: 10.1016/j.medcli.2024.09.004

Carolina Mundim Couto Magalhães, Marina Ribeiro Bartholo, Bernardo Henrique Mendes Correa, Maria de Lourdes Abreu Ferrari, Teresa Cristina Abreu Ferrari

{"title":"Dermatoses in patients with inflammatory bowel disease under tumor necrosis factor-alpha inhibitors treatment.","authors":"Carolina Mundim Couto Magalhães, Marina Ribeiro Bartholo, Bernardo Henrique Mendes Correa, Maria de Lourdes Abreu Ferrari, Teresa Cristina Abreu Ferrari","doi":"10.1016/j.medcli.2024.09.004","DOIUrl":"https://doi.org/10.1016/j.medcli.2024.09.004","url":null,"abstract":"Introduction: Tumor necrosis factor-alpha inhibitor (anti-TNF-α) agents are essential in treating inflammatory bowel diseases (IBD). Their use, however, may cause dermatoses. This study aims to characterize the dermatoses in IBD patients on anti-TNF-α therapy.Methods: A total of 175 IBD patients, 105 (60%) on anti-TNF-α therapy were consecutively selected in a Brazilian referral center of gastroenterology and were evaluated by a dermatologist, regardless of whether they had dermatological complaints.Results: The most prevalent disorders in patients receiving anti-TNF-α were skin infections (52.4%), unspecified alopecia not associated with psoriasiform eruptions (32.4%), seborrheic dermatitis (27.6%), infusion/injection reactions (14.5%), and psoriasiform eruptions (11.4%). The group not on anti-TNF-α treatment also presented a high prevalence of infection, seborrheic dermatitis, and alopecia, but no psoriasiform eruptions. There was a higher prevalence of dermatoses, when considered together, in patients taking anti-TNF-α. The use of these agents was independently associated with presence of dermatoses when grouped.Conclusion: The prevalence of dermatoses, considering together, was higher in the anti-TNF-α group. Infections, alopecia, seborrheic dermatitis, administration reactions, and psoriasiform eruptions were the most frequent dermatoses in patients taking anti-TNF-α.","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142623749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Appropriateness of urinary catheterization in the hospital setting: A multicenter observational study. 医院环境中导尿的适当性：一项多中心观察研究。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-07 DOI: 10.1016/j.medcli.2024.09.003

Ignasi Garcia-Olivé, Agustín Urrutia, Eva Janeiro, Marta Gutiérrez-Valencia, Leire Leache Alegría, Jose Ignacio Pijoan Zubizarreta, Elisabeth Carreras Robert, Rosa García Diez

{"title":"Appropriateness of urinary catheterization in the hospital setting: A multicenter observational study.","authors":"Ignasi Garcia-Olivé, Agustín Urrutia, Eva Janeiro, Marta Gutiérrez-Valencia, Leire Leache Alegría, Jose Ignacio Pijoan Zubizarreta, Elisabeth Carreras Robert, Rosa García Diez","doi":"10.1016/j.medcli.2024.09.003","DOIUrl":"https://doi.org/10.1016/j.medcli.2024.09.003","url":null,"abstract":"Objective: The objective of this study is to analyze the appropriateness of the indication for urinary catheterization (UC) in hospitalized patients and to analyze possible associated factors.Methods: Cross-sectional observational study conducted in 15 hospitals. Patients over the age of 18 with UC were included in the study. Information on age, sex, healthcare area, documentation of the order in the medical record, and reason for UC was collected. Indications were considered appropriate according to the Centers for Disease Control's (CDC) Urinary Tract Infection Prevention Guidelines. Logistic regression was used to study the relationship of different variables with the appropriateness of UC and the presence of documentation of the reason for UC.Results: 696 patients with UC at the time of evaluation were included, with a mean age of 73.3 years (SD 14.6), and 45.0% of them were female. The main indications for UC were preoperative, hemodynamic instability, and acute urinary retention. In 17.4% of cases, the reason for UC was not documented, and the prevalence of inappropriateness was 20.3%. Inappropriateness of UC was higher in the Emergency Department (35.1%), followed by medical services (17.2%) and surgical services (8.4%) (p<0.001 in all comparisons). Appropriateness was lower in older patients (p=0.021) and in centers with a higher number of beds (p<0.001).Conclusions: Unappropriateness of urinary catheterization is a significant problem in our centers, especially in the Emergency Department and in older patients. Specific and multifocal quality improvement programs are needed to enhance knowledge of appropriate indications for UC and potential adverse consequences.","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142623744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paradigm change in the management of benign prostatic hyperplasia. 良性前列腺增生症治疗范式的改变。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-07 DOI: 10.1016/j.medcli.2024.08.012

Antonio Alcántara Montero

引用次数: 0

Patient perspectives and treatment gaps in managing gastrointestinal symptoms in systemic sclerosis. 系统性硬化症患者胃肠道症状管理方面的患者观点和治疗差距。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-07 DOI: 10.1016/j.medcli.2024.07.026

Luis G Alcala-Gonzalez, Alfredo Guillen-Del-Castillo, Carmen P Simeón-Aznar

引用次数: 0